Hepatitis A vaccine, children and teens, two-dose series at Mercy Hospital Springfield

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION

Ozark, MO

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Pricing by billing methodology

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How this price compares nationally

Mercy Hospital Springfield’s median price of $121 is 87% above the median hospital's median price ($65), higher than 80% of the 1,686 hospitals reporting CPT 90633. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90633 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 12 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient	$47	$47	$16	33%	—	$31 – $63
2	Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$57	$57	$20	36%	—	$36 – $77
3	Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$57	$57	$20	36%	—	$36 – $77
4	UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$57	$57	$20	36%	—	$36 – $77
5	Aetna hb sprg ok medicaid facility · fee schedule · outpatient	$57	$57	$19	33%	—	$38 – $76
6	Humana hb sprg ok medicaid facility · fee schedule · outpatient	$57	$57	$19	33%	—	$38 – $76
7	Medicaid hb sprg ok medicaid facility · fee schedule · outpatient	$57	$57	$19	33%	—	$38 – $76
8	Anthem hb sprg anthem blue access facility · fee schedule · outpatient	$85	$85	$28	33%	—	$57 – $113
9	Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient	$85	$85	$28	33%	—	$57 – $113
10	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient	$85	$85	$28	33%	—	$57 – $113
11	Optum hb sprg uhc all payer facility · fee schedule · outpatient	$94	$94	$31	33%	—	$63 – $125
12	UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient	$94	$94	$31	33%	—	$63 – $125
13	UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient	$94	$94	$31	33%	—	$63 – $125
14	UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient	$94	$94	$31	33%	—	$63 – $125
15	Anthem hb sprg anthem alliance facility · fee schedule · outpatient	$103	$103	$34	33%	—	$69 – $138
16	Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient	$103	$103	$34	33%	—	$69 – $138
17	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$112	$112	$40	36%	—	$72 – $152
18	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$116	$116	$41	36%	—	$74 – $157
19	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$159	$159	$57	36%	—	$102 – $216
20	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$193	$193	$69	36%	—	$124 – $262
21	Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$196	$196	$70	36%	—	$126 – $266
22	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$207	$207	$74	36%	—	$133 – $282
23	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$217	$217	$78	36%	—	$139 – $295
24	Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$219	$219	$78	36%	—	$140 – $297
25	MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges	$219	$219	$78	36%	—	$140 – $297

Last updated: Jun 4, 2026

Compare to other hospitals

See Hepatitis A vaccine, children and teens, two-dose series pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.